About this trial
This study evaluates two brief, non-drug psychological techniques-body-scan mindfulness and guided imagery/distraction-delivered as a single bedside session to reduce acute pain in adults admitted to short-stay inpatient wards or emergency observation units in Boyacá, Colombia. Participants are randomly assigned (1:1:1) to body-scan mindfulness, guided imagery/distraction, or a brief cognitive-behavioral psychoeducation session (active comparator). Each session lasts under 20 minutes and usual medical care continues. Pain intensity (0-10) is recorded within 5 minutes before the session and within 2 minutes after completion on the same day. If pain remains very high (e.g., ≥8-9/10) or the activity cannot be completed, up to 5 minutes of supervised slow deep-breathing may be offered as rescue, and the clinical team may adjust analgesics per routine care. Secondary measures (specified in Outcome Measures) include patient satisfaction, feasibility (session duration and completion), use of rescue measure, and adverse events; exploratory data may include short-term psychological scales collected by a blinded assessor and the association with length of stay during the current admission. Adults aged ≥18 years with acute pain ≤7 days and baseline pain ≥4/10 may be eligible. The study takes place across four public hospitals in Boyacá, Colombia.
Eligibility criteria
Qualifiers
Age ≥18 years.
Admitted to short-stay inpatient or emergency observation units at participating hospitals (same index admission).
Acute pain ≤7 days with baseline pain ≥4/10 on a 0-10 numeric/visual scale.
Clinically stable and able to remain at bedside for ~30-40 minutes (consent, baseline, single session, post-session assessment).
Disqualifiers
Cancer-related pain or chronic pain >6 months (e.g., widespread musculoskeletal pain/fibromyalgia).
Active inflammatory/degenerative rheumatic disease causing ongoing daily pain that would confound acute pain ratings (e.g., rheumatoid arthritis flare, advanced osteoarthritis, severe osteoporosis-related pain).
Cognitive impairment/dementia, delirium, or acute severe psychiatric disturbance that prevents consent or reliable self-report.
Respiratory conditions that contraindicate slow deep-breathing rescue (e.g., decompensated COPD, acute asthma, need for high-flow oxygen or ventilatory support).
Trial design
Treatments tested in this trial
- Guided Imagery
- Body-Scan Mindfulness
- CBT-Based Psychoeducation (ABC Model)
Treatment groups
Sponsors and collaborators
Universidad Pedagógica y Tecnológica de Colombia
Lead sponsor
ESE Hospital Regional de Sogamoso
Collaborator
ESE Hospital Santa Marta de Samacá
Collaborator
ESE Santiago de Tunja
Collaborator
ESE Hospital Regional de Chiquinquirá
Collaborator